Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men

Bibliographic Details
Main Author: Torres, Thiago Silva
Publication Date: 2019
Other Authors: Konda, Kelika A., Vega-Ramirez, e Hamid, Elorreaga, Oliver A., Diaz-Sosa, Dulce, Hoagland, Brenda Regina de Siqueira, Diaz, Steven, Bennedeti, Marcos, Lopez-Gatell, Hugo, Robles-Garcia, Rebeca, Grinsztejn, Beatriz, Caceres, Carlos, Veloso, Valdiléa G.
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.2196/13771
Download full: https://arca.fiocruz.br/handle/icict/33847
Summary: ImPrEP Study Group.
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spelling Torres, Thiago SilvaKonda, Kelika A.Vega-Ramirez, e HamidElorreaga, Oliver A.Diaz-Sosa, DulceHoagland, Brenda Regina de SiqueiraDiaz, StevenBennedeti, MarcosLopez-Gatell, HugoRobles-Garcia, RebecaGrinsztejn, BeatrizCaceres, CarlosVeloso, Valdiléa G.2019-07-04T16:26:41Z2019-07-04T16:26:41Z2019TORRES Thiago Silva et al. Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men. JMIR Public Health Surveill, v. 5, n. 2, p. 1-14, Jun. 2019.2369-2960https://arca.fiocruz.br/handle/icict/3384710.2196/137712369-2960ImPrEP Study Group.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. UPCH. Lima, Peru.Condesa & Condesa-Iztapalapa Specialized Clinics. Mexico City, Mexico / National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico City, Mexico.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. UPCH. Lima, Peru.Condesa & Condesa-Iztapalapa Specialized Clinics. Mexico City, Mexico / National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico City, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Center for Prevention and Comprehensive Healthcare for HIV/AIDS of Mexico City. Mexico City, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.National Institute of Public Health. Mexico City, Mexico.National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico City, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. UPCH. Lima, Peru.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. UPCH. Lima, Peru / Condesa & Condesa-Iztapalapa Specialized Clinics. Mexico City, Mexico.Background: HIV disproportionally affects key populations including men who have sex with men (MSM). HIV prevalence among MSM varies from 17% in Brazil and Mexico to 13% in Peru, whereas it is below 0.5% for the general population in each country. Pre-exposure prophylaxis (PrEP) with emtricitabine/tenofovir is being implemented in the context of combination HIV prevention. Reports on willingness to use PrEP among MSM have started to emerge over the last few years. Previously reported factors associated with willingness to use PrEP include awareness, higher sexual risk behavior, and previous sexually transmitted infection. Objective: This study aimed to evaluate the factors associated with willingness to use daily oral PrEP among MSM in 3 Latin American, middle-income countries (Brazil, Mexico, and Peru). Methods: This Web-based, cross-sectional survey was advertised in 2 gay social network apps (Grindr and Hornet) used by MSM to find sexual partners and on Facebook during 2 months in 2018. Inclusion criteria were being 18 years or older, cisgender men, and HIV-negative by self-report. Eligible individuals answered questions on demographics, behavior, and PrEP (awareness, willingness to use, barriers, and facilitators). Multivariable logistic regression modeling was performed to assess the factors associated with willingness to use daily oral PrEP in each country. Results: From a total sample of 43,687 individuals, 44.54% of MSM (19,457/43,687) were eligible and completed the Web-based survey-Brazil: 58.42% (11,367/19,457), Mexico: 30.50% (5934/19,457), and Peru: 11.08% (2156/19,457); median age was 28 years (interquartile range: 24-34), and almost half lived in large urban cities. Most participants were recruited on Grindr (69%, 13,349/19,457). Almost 20% (3862/19,352) had never tested for HIV, and condomless receptive anal sex was reported by 40% (7755/19,326) in the previous 6 months. Whereas 67.51% (13,110/19,376) would be eligible for PrEP, only 9.80% (1858/18,959) of participants had high HIV risk perception. PrEP awareness was reported by 64.92% (12,592/19,396); this was lower in Peru (46.60%, 1002/2156). Overall, willingness to use PrEP was reported by 64.23% (12,498/19,457); it was highest in Mexico (70%, 4158/5934) and lowest in Peru (58%, 1241/2156). In multivariate regression models adjusted for age, schooling, and income in each country, willingness to use PrEP was positively associated with PrEP awareness and PrEP facilitators (eg, free PrEP and HIV testing) and negatively associated with behavioral (eg, concerned by daily pill regimen) and belief barriers (eg, sexual partners may expect condomless sex). Conclusions: In this first cross-country, Web-based survey in Latin America, willingness to use PrEP was found to be high and directly related to PrEP awareness. Interventions to increase awareness and PrEP knowledge about safety and efficacy are crucial to increase PrEP demand. This study provides important information to support the implementation of PrEP in Brazil, Mexico, and Peru.engJMIR PublicationsFactors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Meninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlePre-exposure prophylaxisMen who have sex with menPreventionLatin AmericaSurveys and questionnaires05 Igualdade de gêneroinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://arca.fiocruz.br/bitstreams/8accc16e-b603-49fd-af9b-3a938aa80f42/download586c046dcfeef936e32f0323bb9a47c0MD51falseAnonymousREADORIGINALFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdfFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdfapplication/pdf438154https://arca.fiocruz.br/bitstreams/e7bcf6ed-057e-415b-977f-064b97370e8d/downloadf0e3b926a5f9c8ad84961bd3316152f3MD52trueAnonymousREADTEXTFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdf.txtFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdf.txtExtracted texttext/plain67952https://arca.fiocruz.br/bitstreams/f68ad09b-f596-44be-9b09-3ee34831859c/downloadf475dddaae0f397e07ae06f4efc32fa1MD55falseAnonymousREADTHUMBNAILFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdf.jpgFactors Associated_Thiago_Torres_INI_Lapclin-AIDS_2019.pdf.jpgGenerated Thumbnailimage/jpeg5974https://arca.fiocruz.br/bitstreams/3b09a472-0d45-4f50-9499-b8fc5af7a6d0/downloaddb798f0c3e568ab52a4f039ef1079cf3MD56falseAnonymousREADicict/338472025-07-29 21:01:13.031open.accessoai:arca.fiocruz.br:icict/33847https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T00:01:13Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.none.fl_str_mv Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
title Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
spellingShingle Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
Torres, Thiago Silva
Pre-exposure prophylaxis
Men who have sex with men
Prevention
Latin America
Surveys and questionnaires
05 Igualdade de gênero
title_short Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
title_full Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
title_fullStr Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
title_full_unstemmed Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
title_sort Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men
author Torres, Thiago Silva
author_facet Torres, Thiago Silva
Konda, Kelika A.
Vega-Ramirez, e Hamid
Elorreaga, Oliver A.
Diaz-Sosa, Dulce
Hoagland, Brenda Regina de Siqueira
Diaz, Steven
Bennedeti, Marcos
Lopez-Gatell, Hugo
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos
Veloso, Valdiléa G.
author_role author
author2 Konda, Kelika A.
Vega-Ramirez, e Hamid
Elorreaga, Oliver A.
Diaz-Sosa, Dulce
Hoagland, Brenda Regina de Siqueira
Diaz, Steven
Bennedeti, Marcos
Lopez-Gatell, Hugo
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos
Veloso, Valdiléa G.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Torres, Thiago Silva
Konda, Kelika A.
Vega-Ramirez, e Hamid
Elorreaga, Oliver A.
Diaz-Sosa, Dulce
Hoagland, Brenda Regina de Siqueira
Diaz, Steven
Bennedeti, Marcos
Lopez-Gatell, Hugo
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos
Veloso, Valdiléa G.
dc.subject.en.none.fl_str_mv Pre-exposure prophylaxis
Men who have sex with men
Prevention
Latin America
Surveys and questionnaires
topic Pre-exposure prophylaxis
Men who have sex with men
Prevention
Latin America
Surveys and questionnaires
05 Igualdade de gênero
dc.subject.ods.none.fl_str_mv 05 Igualdade de gênero
description ImPrEP Study Group.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-07-04T16:26:41Z
dc.date.available.fl_str_mv 2019-07-04T16:26:41Z
dc.date.issued.fl_str_mv 2019
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv TORRES Thiago Silva et al. Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men. JMIR Public Health Surveill, v. 5, n. 2, p. 1-14, Jun. 2019.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/33847
dc.identifier.issn.none.fl_str_mv 2369-2960
dc.identifier.doi.none.fl_str_mv 10.2196/13771
dc.identifier.eissn.none.fl_str_mv 2369-2960
identifier_str_mv TORRES Thiago Silva et al. Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men. JMIR Public Health Surveill, v. 5, n. 2, p. 1-14, Jun. 2019.
2369-2960
10.2196/13771
url https://arca.fiocruz.br/handle/icict/33847
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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